Will Fixing Nose Tip Also Narrow Nostril Flare?

You can have your tip narrowed, but this will only decrease the width of your nostrils if your surgeon adds projection to your tip. That means, your nostrils could narrow if you have your tip projected out further from your face; this is usually accomplished with a cartilage graft (columella strut). Some techniques that are used to narrow your tip could de-project your nose, and make the nostril width wider.
In my hands, most patients with wide nostrils require an inconspicuous alar base resection that heals very well and is commonly performed at the time of Rhinoplasty.
Feel free to post / email me a full face, frontal photo, and I'll be glad to give you my thoughts.
Best regards.

Nostril reduction surgery (called Alarplasty / Alar Base Reduction) is a procedure that can narrow the width of the nostril base, decrease the amount of nostril flaring, and/or decrease the size of the nostrils. It is important to realize that the smile muscles can pull the base of the nose up and outward even if an alar base reduction is performed and the flaring may not totally be corrected.
Alar base reduction can be performed alone or in conjunction with a rhinoplasty. The appearance of a "bulbous tip" most commonly arises from the shape of the underlying cartilages. If this is the case, the lower lateral cartilages (tip cartilages) can be trimmed and reshaped either with sutures or with grafts to relieve the excess curvature. Sometimes, reshaping the tip makes the nostril sidewalls straighter and can help alleviate nostril flare.
To get a better understanding of what your nose would look like after surgery, your prospective rhinoplasty surgeon should be able to show you before and after computer simulations. Many rhinoplasty surgeons use computer imaging, and recently 3D rhinoplasty imaging has become available (see link below).

Hi SidSid,
Alar base reduction needs to be considered and planned for whenever a rhinoplasty is performed to narrow the tip. Once all other modifications of the nose are done, the alar base and flare need to be re-evaluated. It is the last procedure performed in the operation.
Sometimes the modifications of the tip are enough so that alar base reduction is not necessary.
Last week I planned an alar reduction, but at the completion of the nasal surgery found that the nostrils had a nice shape, without flare, therefore did not reduce the ala.
Like snowflakes, every nose is different. Rhinoplasty surgeons need to have a plan going into surgery, but sometimes as the operation evolves, the plan changes as well.
Choose your rhinoplasty surgeon carefully. Be well.
Dr. P